§ 5-10-8-14.9 — Coverage of methadone

Indiana § 5-10-8-14.9

• Jurisdiction: Indiana
• Title 5: STATE AND LOCAL ADMINISTRATION
• Art. 10: PUBLIC EMPLOYEE BENEFITS
• Ch. 8: Group Insurance for Public Employees

Text

9. (a) This section applies to an employee
health plan that is established, entered into, amended, or renewed after
June 30, 2015.
(b) As used in this section, "state employee health plan" means one
(1) of the following:
(1) A self-insurance program established under section 7(b) of
this chapter to provide group health coverage.
(2) A contract with a prepaid health care delivery plan that is
entered into or renewed under section 7(c) of this chapter.
(c) A state employee health plan may provide coverage for
methadone if the drug is prescribed for the treatment of pain or pain
management as follows:
(1) If the daily dosage is not more than sixty (60) milligrams.
(2) If the daily dosage is more than sixty (60) milligrams, only if:
(A) prior authorization is obtained; and
(B) a determination of medical necessity has been shown by the
provider.

Legislative History

As added by P.L.209-2015, SEC.1. Amended by P.L.149-2016, SEC.18.